------- -----------------------------
|FORM 4| OMB APPROVAL
------- -----------------------------
OMB Number 3235-0287
[ ] Check Box if no longer subject EXPIRES: JANUARY 31, 2005
to Section 16. Form 4 or Form 5 ESTIMATED AVERAGE BURDEN
Obligations may continue. See HOURS PER RESPONSE........0.5
Instruction 1(b). -----------------------------
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940
--------------------------------------------------------------------------------
1. Name and Address of Reporting Person*
FEIGENBAUM J. MARVIN
--------------------------------------------------------------------------------
(Last) (First) (Middle)
C/O UNITED DIAGNOSTIC, INC.
823 MAIN STREET
--------------------------------------------------------------------------------
(Street)
HOPE VALLEY RI 02832
--------------------------------------------------------------------------------
(City) (State) (Zip)
--------------------------------------------------------------------------------
2. Issuer Name AND Ticker or Trading Symbol
UNITED DIAGNOSTIC, INC. (UNDI)
--------------------------------------------------------------------------------
3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
--------------------------------------------------------------------------------
4. Statement for Month/Day/Year
FEBRUARY 5, 2003
--------------------------------------------------------------------------------
5. If Amendment, Date of Original (Month/Day/Year)
--------------------------------------------------------------------------------
6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[X] Officer (give title below) [ ] Other (specify below)
President, Chief Executive Officer and Chief Financial Officer
--------------------------------------------------------------
--------------------------------------------------------------------------------
7. Individual or Joint/Group Filing (Check applicable line)
[X] Form Filed by One Reporting Person
[ ] Form Filed by More Than One Reporting Person
--------------------------------------------------------------------------------
================================================================================
TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
================================================================================
5
Amount of 6.
4. Securities Owner-
2A. Securities Acquired (A) or Beneficially ship
2. Deemed 3. Disposed of (D) Owned Form: 7.
Trans- Execution Transaction (Instr. 3, 4 and 5) Following Direct Nature of
action Date, if Code ------------------------------- Reported (D) or Indirect
1. Date any (Instr. 8) (A) Transaction(s) Indirect Beneficial
Title of Security (Month/ (Month/ ------------ or (Instr. 3 (I) Ownership
(Instr. 3) Day/Year) Day/Year) Code V Amount (D) Price and 4) (Instr.4) (Instr.4)
------------------------------------------------------------------------------------------------------------------------------------
Common Stock February 5, J(1) 6,318,500 A $0.01 6,318,642 D
2003 per
share(1)
------------------------------------------------------------------------------------------------------------------------------------
Common Stock -- -- -- -- -- 647 I Child
Trust (2)
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
====================================================================================================================================
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one reporting person, See Instruction
4(b)(v).
PERSONS WHO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE
NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL
NUMBER.
(Over)
SEC 1474 (9/02)
FORM 4 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
================================================================================
9.
Number 10.
of Owner-
Deriv- ship
ative Form
2. Secur- of
Conver- 5. 7. ities Deriv- 11.
sion Number of Title and Amount Bene- ative Nature
or 3A. Derivative 6. of Underlying 8. ficially Secur- of
Exer- Deemed 4. Securities Date Securities Price Owned ity: In-
cise 3. Execut- Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct
Price Trans- tion action or Disposed Expiration Date ---------------- Deriv- ing (D) Bene-
1. of action Date, Code of(D) (Month/Day/Year) Amount ative Reported In- ficial
Title of Deriv- Date if any (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner-
Derivative ative (Month/ (Month/ 8) 4, and 5) Date Expira- Number ity action(s) (I) ship
Security Secur- Day/ Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
------------------------------------------------------------------------------------------------------------------------------------
OPTIONS TO $490 -- -- -- -- -- -- 6/28/95 12/31/02 COMMON 1,364 -- 0(3) D
PURCHASE STOCK
COMMON
STOCK
------------------------------------------------------------------------------------------------------------------------------------
OPTIONS TO $490 -- -- -- -- -- -- 6/28/95 12/31/02 COMMON 779 -- 0(3) I BY
PURCHASE STOCK CHARI-
COMMON TABLE
STOCK FOUN-
DATION
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF
FOR EXPLANATION OF RESPONSES.
/s/ J. Marvin Feigenbaum February 6, 2003
--------------------------------------------- -----------------------
**Signature of Reporting Person Date
J. Marvin Feigenbaum
---------------
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
vaild OMB Number.
Page 2
SCHEDULE A
EXPLANATION OF REPSONSES
------------------------
1. On February 5, 2003, Mr. Feigenbaum formally elected to convert an
aggregate of $63,185 of loans and other obligations owed to him by the Company
into 6,318,500 shares of common stock.
2. Mr. Feigenbaum disclaims beneficial ownership of the 647 shares of
common stock owned by a trust for the benefit of his minor child. Mr. Feigenbaum
is not a trustee of the trust.
3. On December 31, 2002, the options owned by Mr. Feigenbaum and the
Feigenbaum Foundation, a charitable foundation, expired without having been
exercised. These options are no longer valid or exercisable.